2024 AHIP Final Exam Questions and Answers/ Guarantee Pass 2024

2024 AHIP Final Exam Questions and Answers/ Guarantee Pass 2024 27) Juan Hernandez is turning 65 next month, Juan legally entered the United States over twenty years ago but is not a citizen. Since his entry into the country, Juan has worked at Smallcap Incorporated and contributed to the Medicare system. Juan suffers from diabetes. He will soon retire and asks you if he can enroll in a Medicare Advantage plan that you represent. How would you respond? (Ans: - Juan is eligible to enroll in a Medicare Advantage as long as he is entitled to Part A and enrolled in Part B. Juan should go to the Social Security website to enroll in Medicare Part A and B if he has not done so already. Once he is enrolled, he can choose a Medicare Advantage plan. 28) Mrs. Radford asks whether there are any special eligibility requirements for Medicare Advantage. What should you tell her? (Ans: - Mrs. Radford must be entitled to Part A and enrolled in Part B to enroll in Medicare Advantage. 29) Mr. Barker enjoys a comfortable retirement income. He recently had surgery and expected that he would have certain services and items covered by the plan with minimal out-of-pocket costs because his MA-PD coverage has been very good. However, when he received the bill, he was surprised to see large charges in excess of his maximum out-of-pocket limit that included some services and items he thought would be fully covered. He called you to ask what he could do? What could you tell him? (Ans: - You can offer to review the plans appeal process to help him ask the plan to review the coverage decision.